A Case Report of Microsurgical Replantation of Completely Amputated Adult Penis.

Kim, Jun Hyuk; Tark, Min Seong; Lee, Young Man

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(1):127-132.
Published online January 1, 2004.

A Case Report of Microsurgical Replantation of Completely Amputated Adult Penis.

Jun Hyuk Kim, Min Seong Tark, Young Man Lee

Department of Plastic & Reconstructive Surgery, College of Medicine, Soonchunhyang University, Chunan, Korea. psdoctorkjh@hanmail.net

Abstract

The majority of penile amputations happen by self mutilation because of psychologic problem in adult and by surgical operation accident while doing circumcision in children. In the past when microsurgery was not developed, the survival of a replanted penis depended on sinusoidal blood flow of reapproximated penile tissues. This method resulted in many complications such as tissue necrosis, urethral fistula or stricture, loss of sensation, and erectile dysfunction. Recently, microsurgical method of replantation in the amputated penis could reduce complications that had happened before remarkably and about 40 cases of successful replantation has been reported. However, surgical procedures and results show differences by each and every surgeon. We describe the technique of microsurgical penile replantation and a case followed-up for 6 months. The patient was a 38-year-old man with a history of chronic schizophrenia who emasculated himself with a straw cutter. A particularly good functional result was achieved including restoration of sensation in the penile shaft and in the glans, recovery of normal urinary function, and return of erectile capacity.

Keywords: Penile amputation; Replantation